How can blocked fallopian tubes be corrected?

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Fallopian tube blockage prevents successful passage of the egg to the sperm, blocks the fertilized egg from reaching the uterus. Surgery can correct this issue. There are a variety of surgeries created to address a number of different types of blockages. Some procedures are done with microsurgery and laparoscopy. The type you need will be recommended by your doctor.

Common procedures

Tubal reanastomosis is used to reverse a tubal ligation or to repair a portion of the fallopian tube damaged by disease. The blocked or diseased portion of the tube is removed and the remaining healthy ends are joined. This procedure can be done through an abdominal incision or using laparoscopy.

Salpingectomy is the removal of a fallopian tube. It is done to improve in vitro fertilization when the tube has developed a buildup of fluid, called hydrosalpinx. Hydrosalpinx is a condition that makes it half as likely for IVF to work successfully.

Salpingostomy is done when the end of a fallopian tube is blocked by hydrosalpinx. This procedure will create a new opening in the end of the tube closest to the ovary. This is not always a desirable alternative since this procedure which corrects blockage will eventually create scar tissue making more blockage.

Fimbrioplasty is done when the part of the tube closest to the ovary is partially blocked or has scar tissue preventing the egg from coming in. This procedure will rebuild the fringed end of the fallopian tube.

Sometimes the end of the fallopian tube nearest the uterus is blocked. A nonsurgical procedure called selective tubal cannulation is used to clear the area. This is performed using fluoroscopy or hysteroscopy to guide the instrument, a doctor works through a catheter inserted through the cervix and the uterus.

What is the success rate?

It depends on the woman and her specific condition. Generally, for blockages close to the uterus, up to 60% of women have successful pregnancies after surgery. For blockages closer to the ovary, 20-30% of women will have success after the blockage is corrected.

Source: WebMD


 
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